Individual
TERRI L BILLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 787-5514
(920) 787-4737
Mailing address
N1106 LUCERNE LAKEWOOD RD, NESHKORO, WI 54960-6408
(920) 252-9733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18550-130
WI
Other
Enumeration date
04/17/2018
Last updated
03/05/2019
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